| Regimental number | 1108 |
| Place of birth | Inverell New South Wales |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Surry Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs F E Rose, 336 Crown Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | Railway Unit, Section 3 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 24 January 1917 |
| Regimental number from Nominal Roll | 1156 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 59th Railway Company |
| Fate | Returned to Australia 25 September 1919 |